NPI | 1770830317 |
---|---|
Former Name | JACQUELINE MARESCA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 578359) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 578359-1) |
Enumeration Date | 2012-08-14 |
Last Update Date | 2018-03-17 |